在患有严重或严重智力和运动残疾的人群中,胆病的患病率和危险因素
A Watanabe1, Y Tomioka1, Y Okata1
1Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Journal of intellectual disability research : JIDR
|January 6, 2024
概括
胆结石 (胆结石) 在严重或严重的智力和运动残疾 (SPIMD) 患者中很常见. 肠道营养和呼吸机支持是这种人群中胆结石发展的重要风险因素.
科学领域:
- 医学研究 医学研究
- 胃肠病学 胃肠病学
- 关于残疾人的研究.
背景情况:
- 胆病 (胆结石) 的患病率和危险因素在患有严重或严重智力和运动残疾 (SPIMD) 的人群中知之甚少.
- 这项研究解决了在住院护理环境中脆弱的SPIMD人群中胆结石形成的知识差距.
研究的目的:
- 为了调查患有SPIMD的患者队列中的胆病的患病率.
- 在这个特定的患者群体中确定与胆结石发展相关的独立风险决定因素.
主要方法:
- 对84名SPIMD患者的回顾性分析,分为有胆病和没有胆病的组.
- 使用计算机断层扫描和/或超声波检测胆结石.
- 评估包括营养支持,呼吸支持和其他并发症在内的因素,通过后勤回归分析.
主要成果:
- 在SPIMD队列中胆病的患病率为27%.
- 胆结石患者的肠道营养 (39.13%对6.56%) 和呼吸机支持 (56.52%对19.67%) 显著高于胆结石患者.
- 肠道营养 (OR 10.4) 和呼吸器支持 (OR 20.0) 被确定为胆病的独立风险因素.
结论:
- 患有SPIMD的患者表现出 cholelithiasis 的高患病率,与营养和呼吸系统支持密切相关.
- 积极的查和量身定制的诊断/治疗策略对于治疗SPIMD患者的胆结石至关重要.
- 需要进一步的研究来验证发现并阐明引起机制.
相关概念视频
Intellectual Disability
55
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
55
Learning Disabilities
147
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Dyslexia
Dyslexia is a...
147
Health Literacy
4.0K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
4.0K
Bulimia Nervosa
83
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
83
Chronic Bowel Disorders: Introduction
455
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
455
Disorders of the Urinary System
319
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
319


